| Literature DB >> 31062120 |
Koichi Okamoto1, Itasu Ninomiya2, Yuta Fujiwara1, Ichitaro Mochizuki1, Tatsuya Aoki1, Takahisa Yamaguchi1, Shiro Terai1, Shinichi Nakanuma1, Jun Kinoshita1, Isamu Makino1, Keishi Nakamura1, Tomoharu Miyashita1, Hidehiro Tajima1, Hiroyuki Takamura1, Sachio Fushida1, Tetsuo Ohta1.
Abstract
A gastrointestinal-airway fistula (GAF) after esophagectomy is a very serious postoperative complication that can cause severe respiratory complications due to digestive juice inflow. Generally, GAF is managed by invasive surgical treatment; less-invasive treatment has yet to be established. We performed esophageal stent placement (ESP) in three cases of GAF after esophagectomy. We assessed the usefulness of ESP through our clinical experience. All GAFs were successfully managed by ESP procedures. After the procedure, the stent positioning and expansion were appropriately evaluated by radiological assessments over time. The stent was removed after endoscopic confirmation of fistula closure on days 8, 23, and 71. Only one patient with a long-term indwelling stent developed a manageable secondary gastrobronchial fistula as a procedure-related complication. In conclusion, ESP was shown to be a less-invasive and effective therapeutic modality for the treatment of GAF.Entities:
Keywords: Esophageal cancer; Esophageal fistula; Esophageal stent
Mesh：
Year: 2019 PMID： 31062120 DOI： 10.1007/s10388-019-00673-0
Source DB: PubMed Journal: Esophagus ISSN： 1612-9059 Impact factor: 4.230